This document discusses monitoring and evaluation (M&E) of nutrition programs during emergency situations. It covers the purpose and components of M&E, including monitoring, evaluation, inputs, processes, outputs, outcomes, and indicators. Key points include: - Monitoring is the ongoing collection and review of program implementation data to track progress and identify needed changes, while evaluation assesses program effectiveness and impact. - Components of M&E include inputs, processes, outputs, and outcomes at both intermediate and long-term levels. - Indicators are variables that measure different aspects of a program and should be selected based on criteria like validity, sensitivity, and practicality of data collection. - An M&E plan outlines the

1. Food and Nutrition
Surveillance and Response in
Emergency
Session 24
MONITORING AND EVALUATION
( Nutrition Programmes During emergency Situation)

2. The purpose of covering the topic
To equip learners with the knowledge that can can
enable them to:
• Design an M&E system for a nutrition Programme
• Conduct M&E
• Effectively use a M&E data base to monitor
progress in Programme implementation

3. M&E cont.
• The M&E session covers the following areas:
– Purpose of M&E in programming.
– Components of an M&E plan /framework for
a nutrition Programme
– Conducting M&E activities
– M&E indicators
– Evaluation of nutrition programmes in
emergency situations

4. Monitoring and Evaluation
• Monitoring: what is it?
It is the ongoing collection and review of
information on project implementation,
coverage and utilization that is reported
and acted on, on on-going basis.

5. M&E cont.
• Why do monitoring?
– To improve intervention programmes by identifying
aspects that are working as planned and those that
need correction.
– To modify Programme as per identified need.
– To ensure that all needy cases are reached:
General food ration reaches all targeted persons
By maximising on inclusion of deserving cases and
exclusion of undeserving cases in special targeting I.e
severely malnourished
– To track ( and demonstrate) results at the program or
population level.

6. Monitoring cont.
• Thus monitoring is used to determine how well a
Programme is being implemented
– At different levels
– At what cost
– Also tracks the changes occurring due to
interventions being implemented
(positive or negative

7. M&E cont
Evaluation: What is it?
• A process of data collection designed to assess
the effectiveness of the project in attaining its
originally stated objectives and the extent to which
observed changes are attributable to the project.
• Done at the end of the project but could be planned
at strategic periods during during the life of the
projects;inform of reviews e.g. mid- term reviews,
or biennial reviews.
Evaluation can use rigorous study designs e.g.,
experimental design or quasi-experimental-involving
control groups.

8. M&E
• M&E happens only after the decision to
implement a certain intervention has been made
• Both monitoring and evaluation need
– clearly stated goals
– clearly stated objectives.

9. Components of M&E
• Usually four components are considered
– Inputs
– Processes
– Outputs
– Outcomes

10. Components
• Inputs are the set of resources dedicated to a
Programme:
• They include human and financial resources,
physical facilities, equipment and operational
policies that enable services to be delivered,I.e.,
– Personnel
– Facilities
– Space: storage, room for admitting children onTFP, for
conducting SFP and space for guardians.
– Equipment
– Supplies

11. Components
• Process refers to the set of activities in which
Programme inputs are utilized in pursuit of the results
from the Programme
• process refer to multiple activities that are carried out to
achieve the objectives of the projects
– Service delivery operations (food distribution)
– Management oriented activities
– Training, IES, research, etc.

12. Components
• Outputs are the results obtained at the
Programme level through execution of activities
using its resources (inputs):

13. Outputs cont.
• Outputs
– Could be staff performing better as a result of
having been trained
– As a result of clear policy environment
– Staff better informed about policies- better in
taking decisions.

14. Components
• Outputs classified into three levels:
• Functional outputs: number of nutrition IEC talks,
food preparation demonstration, people trained
• Service outputs:e.g, number benefiting/accessing
TFP,SFP, quality of service, acceptability/ image
• Service utilization: number using the
service(collecting rations, visiting ANC clinics for
supplements)

15. Outcomes
• Outcome: the set of results expected to occur at
the population level due to Programme activities
and generation of Programme outputs. The
intermediate effects are often behavioral and
result directly from project outputs. They may be
necessary to achieve a desired impact.

16. Outcomes cont.
• Outcomes may be divided into two components:
Intermediate outcomes and long-term outcomes.
• Immediate outcomes:are set of results at the
population level that are closely and clearly linked to the
Programme activities.
• Long-term outcomes: refer to set of results at the
population level that are long- term in nature and are
produced through action of immediate outcomes.

17. Outcomes cont.
• There is generally a considerable time lag 5-10
years between inception and change in long
range outcomes.Good health, reduced mortality
rates.

18. Components
• Outcomes- two levels
• Intermediate outcomes
Occur at population level and are closely associated with
Programme inputs(drop in prevalence of severe cases of
malnutrition, anemia).
• Long range outcomes
Refer to results at population level that are long term in
nature and come through action of intermediate
outcomes (drop in overall prevalence of malnutrition,
deaths, better health)

19. Outcomes cont.
• Six key outcomes for nutrition
– Exclusive breastfeeding
– Appropriate complementary feeding,
– Adequate iron intake
– Adequate vitamin A intake
– Adequate iodine intake
– Adequate nutritional care during illness and
severe malnutrition

20. Elements of M&E
Indicators
• Indicators are variables that measure the
different aspects of a given Programme.
– The inputs, processes, outputs and outcomes.
• An indicator can be assigned a numeric value, a
percentage, a mean value, a ranking, an
absolute number of yes/ no score e.g., presence
verses absence.

21. Indicators cont
• Selection of indicators
Indicators must be selected to provide evidence
that defines the extent to which project
interventions are successful in achieving the set
objectives.

22. Indicators cont.
Criteria for selection of indicators
• Validity: It measures what it is intended to
• Sensitivity: its changes reflect desired changes
• Reliable: It produces the same results when repeated
• Uni-dimensional: it measures only one phenomenon
• Operational: it is measurable
• Objective: it is not subject to Measurer’s biases
• Practical: its data collection is reasonably feasible
• Comparability (from time to time/ place to place)

23. Policy environment (indicators)
• Existence of a policy development plan
• Number of appropriately disseminated policy
analysis
• Number of policy awareness raising events
targeted at leaders
• Quality of Programme leadership
• Extent of commercial sector participation

24. Components of M&E plan
• Introduction: The country region and background
of what the project is addressing
• Conceptual framework-maps the linkages
inputs-processes-outputs-outcomes

25. M&E plan cont.
• Data types
• Mechanisms for M&E
– Data collection methods
– Establishing baseline
– Data storage/analysis
– Management of collection, who collects, when?
– Routine review of data
– How does evaluation fit in.

26. M&E plan cont.
• Indicators for M&E
• Use of data/dissemination to result in regular
adjustments of activities for enhanced effect.

27. M&E plan
• Work plan needed to implement the plan
• Work plan lists:
– Activities
– Time they shall be conducted
– Targeted numbers
– Milestones e.g. by-after 18 months
– Implementation- what is expected in terms of
achievements (objectives)

28. Bibliography
• Bertrand J.T. et al (1996). Evaluating FP programs. USAID.
• Medicins Sans Frontiers (1995).Registration and
Monitoring/Evaluation of Feeding Programmes, In:Nutrition
Guidelines(Nutritional programmes in Emergency Situations).1st
Ed.Paris.
• Sphere project (2004). Humanitarian Charter and Minimum
Standards in Disaster Response.ISBN 9291390976.
• UNAIDAS(2000).National AIDS Programmes.A Guide to
Monitoring and Evaluation.Geneva.
• Veneya and Kaluzny (1984). Evaluation and Decision Making for
Health Services Programmes.
• WHO,BASICS and UNICEF (1999).Nutrition Essentials.A Guide
for Health Managers.